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2013 Ty Cobb Regional Medical Center Community Health Needs Assessment

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2013 Ty Cobb Regional Medical Center Community Health Needs Assessment 2013 Ty Cobb Regional Medical Center Community Health Needs Assessment 2013 Ty Cobb Regional Medical Center Community Health Needs Assessment Community Participants Researched and written by: Cynthia R. DuPree, CPA Heather A. Haley, MHA Draffin & Tucker, LLP Five Concourse Parkway Suite 1250 Atlanta, Georgia 30325 Facilitated by: Rhonda Barcus, MS, LPC Fernandina Beach, FL 32034 1 2013 Ty Cobb Regional Medical Center Community Health Needs Assessment CONTENTS EXECUTIVE SUMMARY ................................................................................................................................................4 THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS ........................................................................................7 Description of Major Data Sources ........................................................................................................................9 Information Gaps and Process Challenges .......................................................................................................... 11 ABOUT FRANKLIN COUNTY AND HART COUNTY ................................................................................................ 12 Georgia Public Health Districts ........................................................................................................................ 13 Demographics .................................................................................................................................................... 14 Population Profile ......................................................................................................................................... 14 Race and Ethnicity Profile ................................................................................................................................ 16 MORBIDITY AND MORTALITY .................................................................................................................................. 20 Hospitalization and Emergency Room Visits ....................................................................................................... 20 Leading Causes of Death ..................................................................................................................................... 22 Premature Death ................................................................................................................................................. 24 Cancer .................................................................................................................................................................. 25 Lung Cancer ..................................................................................................................................................... 27 Colon and Rectum Cancer ............................................................................................................................... 29 Breast Cancer ................................................................................................................................................... 31 Prostate Cancer ............................................................................................................................................... 33 Heart Disease and Stroke .................................................................................................................................... 36 Chronic Lower Respiratory Disease ..................................................................................................................... 41 Accidents ............................................................................................................................................................. 45 Youth Unintentional Injuries ............................................................................................................................... 47 Diabetes ............................................................................................................................................................... 52 Obesity ................................................................................................................................................................. 54 Childhood Obesity ........................................................................................................................................... 55 MATERNAL, INFANT, AND CHILD HEALTH ............................................................................................................... 62 Birth Rates ........................................................................................................................................................... 63 Infant Mortality ................................................................................................................................................. 64 Fetal and Infant Conditions ................................................................................................................................. 65 Teen Birth Rate .................................................................................................................................................... 66 Birth Weight ........................................................................................................................................................ 69 Immunizations ..................................................................................................................................................... 70 ALCOHOL, TOBACCO, AND DRUG USE..................................................................................................................... 71 Adolescent Behavior ............................................................................................................................................ 71 2 2013 Ty Cobb Regional Medical Center Community Health Needs Assessment Alcohol, Tobacco, and Substance Abuse ......................................................................................................... 72 Illicit Drug Usage .............................................................................................................................................. 74 Comparison: Franklin County, Hart County, Georgia and the U.S. ................................................................. 75 Adult Alcohol Abuse ............................................................................................................................................ 76 SEXUALLY TRANSMITTED DISEASES ........................................................................................................................ 79 Chlamydia ............................................................................................................................................................ 80 Gonorrhea ........................................................................................................................................................... 81 Syphilis ................................................................................................................................................................. 82 Human Immunodeficiency Virus (HIV) ................................................................................................................ 83 ACCESS TO CARE ...................................................................................................................................................... 85 Gaining Entry into the Healthcare System .......................................................................................................... 85 Income and Poverty ......................................................................................................................................... 85 Educational Attainment ................................................................................................................................... 88 Insured Status .................................................................................................................................................. 89 Georgia Health Assistance and Healthcare Programs ..................................................................................... 91 Accessing a Healthcare Location Where Needed Services are Provided ............................................................ 92 Healthcare Continuum .................................................................................................................................... 92 Free or Sliding Fee Scale Clinics ....................................................................................................................... 93 Physician Workforce ........................................................................................................................................ 94 Health Professional Shortage Areas (HPSAs)................................................................................................... 94 Mental Health .................................................................................................................................................. 95 Nursing Homes/Skilled Nursing Facilities ........................................................................................................ 95 Transportation ................................................................................................................................................. 95 Finding a Healthcare
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